Noet Ellesse Avila

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

13642 Research Blvd Ste 100
Austin, TX 78750-2210

Phone

(512) 331-7300

NPI assigned

Feb 29, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of North Texas HSC, College of Osteopathic Med, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spicewood Dermatology, P.a.Group PAC ID 0749251908, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AFBGAA/Endpoint/AFBGAA
• FHIR API: https://fhir4.healow.com/fhir/r4/AFBGAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spicewood Dermatology, P.a.

  • Specialist
  • Austin, TX
  • NPI 1841346285
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1023875796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13642 RESEARCH BLVD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502210",
            "telephone_number": "512-331-7300",
            "fax_number": "512-331-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13642 RESEARCH BLVD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502210",
            "telephone_number": "512-331-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "NOET",
        "middle_name": "ELLESSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta Diamond Avie
• Ben Aviel
• Raidelys Avila Diaz, MD
• Kimberly Cruzita Avila Edwards, M.D.
• Alicia Marie Avila
• Zaira Yadira Avila
• Avita Drugs, LLC (Avita Pharmacy)
• Avita Drugs, LLC (Avita Pharmacy 1035)
• Avonmed LLC
• Avs Vision Crestview LLC (My EyeLab)

• Physician Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.